The purpose of this study is to evaluate the effects of single and multiple doses of ABCL635 administered by subcutaneous (SC) injection to healthy men and to postmenopausal women with or without any vasomotor symptoms (VMS) or hot flashes, and to postmenopausal women with moderate-to-severe VMS associated with menopause. The safety, tolerability, pharmacokinetic (PK) and pharmacodynamic (PD) parameters of ABCL635 will be assessed in all study participants; the effects on frequency and severity of VMS will be assessed in postmenopausal women who experience moderate-to-severe symptoms.
The study consists of 3 parts: Part A and Part B (Phase 1) and Part C (Phase 2). In Part A, single ascending doses (SAD) of ABCL635 or placebo will be administered to healthy male and female participants. In Part B, up to 3 multiple ascending doses (MAD) of ABCL635 or placebo will be administered to healthy postmenopausal women with or without VMS. In Part C, a single dose of ABCL635 or placebo will be administered to postmenopausal women experiencing moderate-to-severe VMS associated with menopause. In Part C, all participants will be offered to participate in an open label extension (OLE) cohort and receive a single dose of ABCL635 upon completion of a 12-week assessment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
136
CaRe Clinics
Calgary, Alberta, Canada
RECRUITINGCaRe Clinics
Red Deer, Alberta, Canada
RECRUITINGMount Saint Joseph Hospital Clinical Trials Phase 1 Unit
Vancouver, British Columbia, Canada
RECRUITINGCentricity Research
Toronto, Ontario, Canada
RECRUITINGCentricity Research
Toronto, Ontario, Canada
RECRUITINGAlpha Recherche Clinique
Lévis, Quebec, Canada
RECRUITINGGCP Research
Montreal, Quebec, Canada
RECRUITINGAltasciences Company Inc.
Mount Royal, Quebec, Canada
RECRUITINGClinique RSF Inc.
Québec, Quebec, Canada
RECRUITINGDiex Recherche Québec
Québec, Quebec, Canada
RECRUITING...and 3 more locations
Frequency and severity of adverse events (AE)
Time frame: Day 0 to day 197
Number of participants with abnormalities in 12-lead safety electrocardiograms (ECG)
Time frame: Day 0 to day 197
Number of participants with abnormalities in physical examination
Time frame: Day 0 to day 197
Number of participants with abnormalities in laboratory parameters, including general biochemistry, hematology, endocrinology, and urinalysis
Time frame: Day 0 to day 197
Mean change from baseline to each study week in the frequency of moderate and severe VMS (VMSM-S frequency)
Time frame: up to day 141 (Part C)
Mean change from baseline to each study week in the severity of moderate and severe VMS (VMSM-S severity)
Time frame: up to day 141 (Part C)
Mean change from baseline to each study week in the frequency of all reported VMS (VMSTotal frequency).
Time frame: up to day 141 (Part C)
Mean change from baseline to each study week in the moderate to severe hot flash score (HFM-S).
The moderate to severe hot flash score (HFM-S) is a metric that combines the frequency and severity of hot flashes: * The daily score is calculated as follows: (number of moderate hot flashes x 2) + (number of severe hot flashes x 3) * The weekly score is the average daily score over seven days. A negative change in the score from Baseline to Week 1 indicates a reduction in the severity and frequency of hot flashes
Time frame: up to day 141 (Part C)
Mean change from baseline to each study week in the total hot flash score (HFTotal).
The total hot flash score (HFTotal) is a metric that combines the frequency and severity of hot flashes: * The daily score is calculated as follows: (number of mild hot flashes x 1) + (number of moderate hot flashes x 2) + (number of severe hot flashes x 3) * The weekly score is the average daily score over seven days. A negative change in the score from Baseline to Week 1 indicates a reduction in the severity and frequency of hot flashes.
Time frame: up to day 141 (Part C)
Mean change in the Menopause-Specific Quality of Life Questionnaire (MENQOL) 4-domain scores (ie, physical, vasomotor, psychosocial, and sexual) from baseline to weeks 1, 2, 3, 4, 5, 9, and 13
The Mean change in the Menopause-Specific Quality of Life Questionnaire (MENQOL) measures the impact of menopause symptoms over the last week. The questionnaire has 29 items across four domains: vasomotor (items 1 to 3), psychosocial (items 4 to 10), physical (items 11 to 26), and sexual (items 27 to 29). Items pertaining to a specific symptom are rated as present or not present, and if present, how bothersome on a 0 (not bothersome) to 6 (extremely bothersome) scale. The mean change in the MENQOL domain scores will be assessed from Baseline to each week measured. A negative change in the score from Baseline to each week measured indicates an improvement in quality of life.
Time frame: up to day 141 (Part C)
Mean change in the Patient-Reported Outcomes Measurement Information System Sleep Disturbance 8b Short Form (PROMIS-SD-SF-8b) total score from baseline to weeks 1, 2, 3, 4, 5, 9, and 13.
The PROMIS-SD-SF-8b assesses the perception of sleep quality, sleep depth, and any perceived difficulties related to getting and staying asleep. Questions are scored using the following scale: 1 (very much), 2 (quite a bit), 3 (somewhat), 4 (a little bit), and 5 (not at all). The mean change in the PROMIS-SD-SF-8b score will be assessed from Baseline to each week measured. A positive change in the score from Baseline to each week measured indicates a reduction in sleep disturbance.
Time frame: up to day 141 (Part C)
Frequency of Patient Global Impression of Change in VMS (PGI-C VMS) responses at weeks 2, 3, 4, 5, 9, and 13.
The Patient Global Impression of Change (PGI-C) for vasomotor symptoms (VMS) rates the perception of their hot flashes and night sweats at each designated timepoint compared to the start of the study. The response is a seven-point scale ranging from "much better" to "much worse." The frequency of each PGI-C VMS score will be reported at each scheduled timepoint.
Time frame: up to day 141 (Part C)
Plasma concentrations of ABCL635
Time frame: Day 0 to day 197
Incidence of anti-ABCL635 antibodies
Time frame: Day 0 to day 197
PK parameters; maximum plasma concentration (Cmax)
Time frame: Day 0 to day 197
PK parameters; time to maximum plasma concentration (Tmax)
Time frame: Day 0 to day 197
PK parameters; area under the plasma concentration-time curve from zero to the time of the last quantifiable concentration (AUC0-T)
Time frame: Day 0 to day 197
PK parameters; area under the plasma concentration-time curve from zero to hour 672 (AUC0-672)
Time frame: Day 0 to day 197
PK parameters; area under the plasma concentration-time curve from zero to infinity (AUC0-∞)
Time frame: Day 0 to day 197
PK parameters; percent of AUC obtained by extrapolation (%AUCextrap)
Time frame: Day 0 to day 197
PK parameters; terminal rate constant (λz)
Time frame: Day 0 to day 197
PK parameters; apparent plasma clearance of drug after extravascular administration (CL/F)
Time frame: Day 0 to day 197
PK parameters; apparent volume of distribution after extravascular administration (Vz/F)
Time frame: Day 0 to day 197
PK parameters; half-life (Thalf)
Time frame: Day 0 to day 197
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